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논문 기본 정보

자료유형
학술저널
저자정보
Jang Suk-Yong (Department of Healthcare Management Graduate School of Public Health Yonsei University Seoul Korea.) Cha Yonghan (Department of Orthopedic Surgery Daejeon Eulji Medical Center Eulji University School of Medicine D) Lee Je Chan (Department of Orthopedic Surgery Daejeon Eulji Medical Center Eulji University School of Medicine D) Kim Hayong (Department of Orthopedic Surgery Daejeon Eulji Medical Center Eulji University School of Medicine D) Kim Kap-Jung (Department of Orthopedic Surgery Daejeon Eulji Medical Center Eulji University School of Medicine D) Choy Wonsik (Department of Orthopedic Surgery Daejeon Eulji Medical Center Eulji University School of Medicine D)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.36
발행연도
2021.9
수록면
1 - 10 (10page)
DOI
10.3346/jkms.2021.36.e225

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Background: The purpose of study was to investigate the incidence rate of suicide in elderly patients with osteoporotic fractures in a nested case-control model and to analyze the change in the risk of suicide death over time after each osteoporotic fracture. Methods: We used the National Health Insurance Service-Senior cohort of South Korea. Suicide cases and controls were matched based on sex and age at the index date. Controls were randomly selected at a 1:5 ratio from the set of individuals who were at risk of becoming a case at the time when suicide cases were selected. Conditional logistic regression analysis was performed to evaluate the association between each type of osteoporotic fracture and the risk of suicide death. Results: Three thousand seventy suicide cases and 15,350 controls were identified. Patients with hip fracture showed an increased risk of suicide death within 1 year of fracture (adjusted odds ratio [aOR] = 2.64; 95% confidence interval [CI], 1.57?4.46; P < 0.001) compared to controls. However, the increased risk of suicide death in patients with hip fracture lasted up to 2 years (aOR = 1.59; 95% CI, 1.04?2.41; P = 0.031). Spine fracture increased the risk of suicide deaths for all observation periods. There was no evidence that humerus fracture increased the risk of suicide death during the observational period. Radius fracture increased only the risk of suicide death within 2 years of fracture (aOR = 1.43; 95% CI, 0.74?2.77; P = 0.282). Conclusion: There were noticeable differences in both degree and duration of increased suicide risks depending on the type of osteoporotic fracture. Mental stress and suicide risk in elderly patients after osteoporotic fracture should be assessed differently depending on the types of fracture.
#Osteoporotic Fracture #Suicide #Nested Case Control Study

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참고문헌 (30)

참고문헌 신청
Ha YC / 2016 / Current trends and future projections of hip fracture in South Korea using nationwide claims data / Osteoporos Int 27(8):2603~2609 google schola Major G / 2018 / The costs of confronting osteoporosis : cost study of an Australian fracture liaison service / JBMR Plus 3(1):56~63 google schola Ikpeze TC / 2016 / Distal radius fracture outcomes and rehabilitation / Geriatr Orthop Surg Rehabil 7(4):202~205 google schola 차용한 / 2019 / Difference in Mortality Rate by Type of Anticoagulant in Elderly Patients with Cardiovascular Disease after Hip Fractures / Clinics in Orthopedic Surgery 11(1):15~20 google schola Newman M / 2016 / Spinal orthoses for vertebral osteoporosis and osteoporotic vertebral fracture : a systematic review / Arch Phys Med Rehabil 97(6):1013~1025 google schola

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